Digital gangrene in patients with sepsis

Authors

  • Archana A. Nema Department of Surgery, SMIMER, Surat, Gujrat, India
  • Jitendra R. Darshan Department of Surgery, SMIMER, Surat, Gujrat, India
  • Saumya Iyer Department of Surgery, SMIMER, Surat, Gujrat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20181567

Keywords:

Gangrene, Necrosis, Sepsis, Symmetrical peripheral gangrene

Abstract

Background: Symmetrical peripheral gangrene is a rare condition seen in patients of severe sepsis with hypotension. Gangrene is of dry type, limited to the digits only with all peripheral pulses palpable.  

Methods: Seven patients of severe sepsis with various etiologies were admitted in surgical ICU. These patients developed symmetrical peripheral gangrene during their stay in SICU at a variable period. Detailed history and case records were studied, and data was analyzed. Review of literature was done and compared with findings of our cases.  Results: All seven patients had severe sepsis with disseminated intravascular coagulation and all seven required ventillatory support. Administration of inotropes increased the pace of ischemic process.  

Conclusions: Anticipation and prompt recognition of this condition can limit the progress of gangrene. Treatment is emphasized on the primary condition with focus on limiting the gangrene by local procedures.  

References

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Published

2018-04-21

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Section

Original Research Articles